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General NPI Number Information
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NPI Number | 1184031858
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Entity Type | Individual
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Provider Name | SARAH B MCKINNON
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 87 MAIN ST
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City | YARMOUTH
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State | ME
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Zip | 04096-6718
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Country | US
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Telephone | 207-650-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 13 GRANGE RD
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City | CHEBEAGUE ISLAND
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State | ME
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Zip | 04017-3211
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Country | US
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Telephone | 207-650-9292
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | XL4351
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License Number State | ME
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